Individual
JOHN M HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W I-20, STE 1, ARLINGTON, TX 76017-5851
(817) 784-8268
(817) 417-1150
Mailing address
801 W I-20, SUITE 1, ARLINGTON, TX 76017-5851
(817) 784-8268
(817) 417-1150
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H3392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133718004
—
TX
05
—
133718007
—
TX
05
—
133718008
—
TX
05
—
133718009
—
TX
01
—
133718010
MEDICAID OTHER
TX
05
—
133718011
—
TX
Enumeration date
09/21/2005
Last updated
06/02/2016
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